高强度聚焦超声治疗子宫肌瘤和子宫腺肌病后盆腔黏连情况分析

目的：初步探讨高强度聚焦超声（HIFU）治疗子宫肌瘤和子宫腺肌病后是否会导致盆腔黏连。方法收集明确诊断的子宫肌瘤及子宫腺肌病患者1672例，根据是否进行 HIFU手术，将其分为非 HIFU组（1560例）、HIFU组（112例）。根据盆腔黏连评分细则，对患者盆腔黏连情况进行分度评分，将结果进行统计学处理。结果两组盆腔黏连情况及盆腔黏连分度比较，差异无统计学意义（P＞0．05）。对可能引起黏连的相关因素进行单因素分析，发现患者年龄、既往有子宫内膜异位症病史、手术史、盆腔炎病史、病灶大小、痛经史对盆腔黏连有影响，差异有统计学意义（P＜0．05）。而在多因素相关性分析中，HIFU组各因素均被排除（P＞0．05），非 HIFU组中，手术史及盆腔炎病史与盆腔黏连发生具有相关性（P＜0．05）。结论 HIFU治疗子宫肌瘤和子宫腺肌病不会引起盆腔黏连。

Analysis on pelvic adhesion situation patients after treatment of uterine fibroids and adenomyosis by high intensity focused ultrasound

Objective To investigate whether the high intensity focused ultrasound (HIFU) for treating uterine fibroids and adenomyosis leading to pelvic adhesion .Methods 1 672 patients with definitely diagnosed uterine fibroids or adenomyosis were col‐lected and divided into the non‐HIFU group(1 560 cases) and HIFU group(112 cases) according to whether performing HIFU op‐eration .The pelvic adhesion situation in each case was scored according to pelvic adhesion scoring system .Then the results were performed the statistical process .Results No statistically significant differences were observed in the pelvic adhesion situation and pelvic adhesion degree between the HIFU group and the non‐HIFU group (P>0 .05) .The single factor analysis of factors possibly causing pelvic adhesion showed that the age ,past history of endometriosis ,operation and pelvic inflammatory disease ,lesion size and dysmenorrhea history affected pelvic adhesion ,the differences were statistically significant(P<0 .05) .But in the multi‐factor corre‐lation analysis ,various factors in the HIFU group were excluded(P> 0 .05) ,while the operation history and pelvic inflammation disease history had correlation with pelvic adhesion (P<0 .05) .Conclusion HIFU dose not cause pelvic adhesion in treating uter‐ine fibroids and adenomyosis .